Clinical judgement is a central and longstanding issue in the philosophy of medicine which has generated significant interest over the past few decades.

Chin-Yee and Upshur explore different approaches to clinical judgement articulated in the literature, focusing in particular on data driven, mathematical approaches which we contrast with narrative, virtue-based approaches to clinical reasoning.

They discuss the tension between these different clinical epistemologies and further explore the implications of big data and machine learning for a philosophy of clinical judgement.

They argue for a pluralistic, integrative approach, and demonstrate how narrative, virtue-based clinical reasoning will remain indispensable in an era of big data and predictive analytics ¹⁾.